Diana Rose Poortenga, | |
8135 Calumet Ave, Munster, IN 46321-1701 | |
(219) 513-2000 | |
Not Available |
Full Name | Diana Rose Poortenga |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 8135 Calumet Ave, Munster, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780207332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 28213590A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Express Care 4 Llc | 4284909615 | 58 |
Entity Name | Nwi Urgent Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043596703 PECOS PAC ID: 7618142977 Enrollment ID: O20111214000990 |
Entity Name | Midwest Express Care, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942642848 PECOS PAC ID: 5193957595 Enrollment ID: O20140417002077 |
Mailing Address | Practice Location Address |
---|---|
Diana Rose Poortenga, 8135 Calumet Ave, Munster, IN 46321-1701 Ph: (219) 513-2000 | Diana Rose Poortenga, 8135 Calumet Ave, Munster, IN 46321-1701 Ph: (219) 513-2000 |
Maribel Alvarez, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 8135 Calumet Ave, Munster, IN 46321 Phone: 219-513-2000 | |
Victoria Lee Golden, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1925 Tulip Ln, Munster, IN 46321 Phone: 219-359-0803 | |
Mrs. Annette Zora Desancic, RN, BSN Registered Nurse Medicare: Medicare Enrolled Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 144-321-9703 | |
Stacy Nicole Sanchez, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8023 Madison Ave, Munster, IN 46321 Phone: 219-902-3547 | |
Mrs. Kristina Marie Derolf, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-1600 | |
Jeffrin Lozano, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 801 Macarthur Blvd Ste 305, Munster, IN 46321 Phone: 219-703-2401 Fax: 219-703-6687 | |
Sarah Paulson, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-1600 |